Organization · Type 2 NPI

John T. Mather Memorial Hospital

Nurse Practitioner · Port Jefferson, NY

NPI number 1821185109 Active

Practice location

75 N Country Rd
Port Jefferson, NY 11777-2119

Call (631) 473-1320 Map

Fax (631) 686-7972

Mailing address

625 Belle Terre Rd, Suite 100
Port Jefferson, NY 11777-2316

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1821185109

John T. Mather Memorial Hospital's National Provider Identifier is 1821185109, issued on Oct 6, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Port Jefferson, NY. The record was last updated on Apr 29, 2015.